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Surgery of Vertebrobasilar Aneurysms

London, Ontario Experience on 1767 Patients

  • Book
  • © 1996

Overview

Authors:
  1. Charles G. Drake

    1. Department of Surgery, University of Western Ontario, University Hospital, London, Canada
      Division of Neurosurgery, University of Western Ontario, University Hospital, London, Canada

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  2. Sydney J. Peerless

    1. Division of Neurosurgery, University of Western Ontario, University Hospital, London, Canada

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  3. Juha A. Hernesniemi

    1. Department of Neurosurgery, University Hospital of Kuopio, Kuopio, Finland

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Table of contents (25 chapters)

  1. Front Matter

    Pages I-XX
    Download chapter PDF

  2. Historical Notes

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 1-6

  3. Clinical Material

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 7-16

  4. Small Aneurysms at the Bifurcation of the Basilar Artery 493 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 17-41

  5. Large (or Bulbous) Basilar Bifurcation Aneurysms (12.5–25 mm) 265 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 42-54

  6. Analysis of Operative Morbidity in Basilar Bifurcation Aneurysms: Small and Large (Non-Giant): 758 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 55-67

  7. Giant Basilar Artery Bifurcation Aneurysms: 137 Cases

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 68-94

  8. Non-Giant (Small and Large) Basilar Superior Cerebellar Artery Aneurysms: 210 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 95-109

  9. Giant Basilar-Superior Cerebellar Artery Aneurysms: 56 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 110-118

  10. Midbasilar Trunk Aneurysms: 44 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 119-132

  11. Basilar Anterior Inferior Cerebellar Artery Aneurysms: 41 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 133-142

  12. Giant Basilar Trunk Aneurysms: 59 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 143-166

  13. Vertebral-Basilar Junction Aneurysms: 77 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 167-176

  14. Giant Vertebrobasilar Junction Aneurysms: 39 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 177-194

  15. Non-Giant Aneurysms of the Vertebral Artery: 181 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 195-206

  16. Giant Vertebral Aneurysms: 40 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 207-220

  17. Non-Giant Aneurysms of the Posterior Cerebral Artery: 59 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 221-229

  18. Giant Posterior Cerebral Aneurysms: 66 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 230-248

  19. Multiple Aneurysms: 462 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 249-255

  20. Vertebrobasilar Aneurysms and Associated Arteriovenous Malformations: 54 Patients

    • Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi
    Pages 256-266
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Keywords

About this book

It is a great privilege to write the foreword for this classical work of Professor Charles Drake. There is no doubt that intracranial aneurysms have existed since the beginning of time. This terrifying disease of the brain arteries, with its dramatic consequences for the patient, has surely been observed in all human collectives, although clear definition and description in the literature began only 300 years ago. During the last century, clinical signs and symptoms have been carefully observed and analyzed, and 100 years ago, the first attempts were made for surgical treatment, such as the ligature of external and internal carotid and vertebral arteries. With the introduction of angiography, an entirely new dimension of diagnosis and differential diagnosis of the vascular diseases of CNS, was accomplished. In the years between 1945 and 1970, the neurosurgeon was increasingly stimulated to directly eliminate intracranial aneurysms. The most respected and avoided location, the aneurysms at the bifurcation of the basilar artery, remained as a "dark corner. " Several pioneers of neurosurgery attempted to explore the interpeduncular fossa, but finally retreated. Not so Charles Drake. His vision must have been stronger than his anxiety, after experiences of initial fatalities, to persevere more decisively in this desperate fight instead of to yield. Such steadfastness requires enormous courage. But what distin­ guishes courage! Surgical courage is not just a fearless or unscrupulous action.

Authors and Affiliations

  • Department of Surgery, University of Western Ontario, University Hospital, London, Canada

    Charles G. Drake

  • Division of Neurosurgery, University of Western Ontario, University Hospital, London, Canada

    Charles G. Drake, Sydney J. Peerless

  • Department of Neurosurgery, University Hospital of Kuopio, Kuopio, Finland

    Juha A. Hernesniemi

Bibliographic Information

  • Book Title: Surgery of Vertebrobasilar Aneurysms

  • Book Subtitle: London, Ontario Experience on 1767 Patients

  • Authors: Charles G. Drake, Sydney J. Peerless, Juha A. Hernesniemi

  • DOI: https://doi.org/10.1007/978-3-7091-9409-6

  • Publisher: Springer Vienna

  • eBook Packages: Springer Book Archive

  • Copyright Information: Springer-Verlag/Wien 1996

  • Softcover ISBN: 978-3-7091-9411-9Published: 19 January 2012

  • eBook ISBN: 978-3-7091-9409-6Published: 06 December 2012

  • Edition Number: 1

  • Number of Pages: XX, 329

  • Topics: Neurosurgery, Neurology, Neuroradiology

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